ch 21 theory II

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ch 21 theory II
2011-02-28 22:30:27
theory II

ch 21 theory II
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  1. t/f if a pt has pain, this needs to be addressed prior to initiating dental hygiene tx
  2. -behavioral factors
    -tobacco use
    -systemic conditions
    -hormonal considerations
    -nutritional status
    -iatrogenic factors
    -genetic factors
  3. T/F presence of perio infection is a contributing factor to a variety of systemic conditions
  4. infective endocarditis
    cardiovascular disease (CVD) and atherosclerosis
    diabetes mellitus
    respiratory disease
    adverse pregnancy outcomes
    ARE ALL EXAMPLES OF _________ __________ AS RISK FACTORS FOR __________ CONDITIONS
  5. tobaccco, alcohol, and sun exposure (lips and face) are all risk factors for ______ _______
    oral cancer
  6. -behavioral factors
    -dietary factors
    -low fl2
    -tooth morphology and position
    -personal family history of dental caries/restorative dentistry
    -dev factors
    -genetic factors
    ARE ALL RISK FACTORS FOR _______ _____
    • the dental hygiene care plan
    • ASSESS
    • PLAN
  8. t/f misunderstandings can lead to legal involvement from documentation of assessment data.
    true! make sure you cover your bum
  9. hypocalcification is mostly seen in _______
  10. what is a developmental factor for dental caries?
    hypoplasia (enamel didn't form correctly)
  11. pt's overall health status for tx modification is determined by their _______, _______, and _______ risk
    • medical
    • physical
    • psychological
  12. name two systems that can be used to determine modifications necessary for pt care
    • ASA
    • OSCAR
  13. planning for the number and length of appointments is determined by their ________ _______
    periodontal status
  14. _____ and ______ perio conditions and risk factors that affect the progress of disease, determines the patients current perio status.
    past and present
  15. to help determine the sequences and number of appointments required for nonsurgical therapy, it is useful to divide the perio diagnosis into _____ _____.
    case types
  16. parameters of care include clinical _______, therapeutic goals, ________ considerations, and outcomes assessment for perio disease. planning considerations are graded by the ________ of infection
    • diagnosis
    • treatment
    • severity
  17. do we use the OSCAR planning guide in clinic?
    nope! just another thing we learn for fun
  18. what are the four basis's for diagnosis? (hint: two data and two tx)
    • -pt interview data
    • -physical assessment data
    • -tx or education needs from providing oral care services within the dh legal practice
    • -tx needs from another licensed healthcare professional
  19. chief complaint, identification of oral problems, and comprehensive personal/social, medical and dental health histories are all examples of ______ _______ data
    patient interview data
  20. vital signs, eo/io exams, dental and perio charting are all examples of _________ ________ data
    physical assessment
  21. inadequate biofilm removal, diet, noncompliance with dental hygiene recommendations are all _________ factors
  22. diabetes, decreased immune factors, osteoporosis, osteopenia are all ______ _______
    systemic conditions
  23. pregnancy and menopause are ______ considerations
    hormonal considerations
  24. overhangs, open contacts, residual calc are ________ _________
    iatrogenic factors
  25. frequent use of cariogenic foods/beverages are all ________ factors
  26. deep occlusal pits and fissures, exposed root surfaces, and rotated positioning are _______ _______ and positioning
    tooth positioning
  27. modifications of dental enamel are _______ factors
  28. immune response is a _______ factor
  29. what are two purposes of a dental hygiene model (which is like a nursing model except dh are prettier)?
    • address health functioning and behaviors
    • describe acutal/potential health problems that dh are educated and licensed to treat
  30. t/f prognosis is expressed in general terms for either an individual tooth or all the teeth
  31. assessment data (current disease status)
    pt's risk factors
    pt's commitment
    interventions with potential to reverse pt's oral problem
    tx alternatives
    evidence from scientific literature
    are all factors that determine _______
  32. in expected outcomes, what are the three parts of a three part care plan?
    • gingival/periodontal
    • dental caries
    • prevention
  33. 7 expected outcomes for improvement of GINGIVAL/PERIODONTAL status are:
    • reduce dental biofilm
    • no BOP
    • reduced probing depths
    • no further loss in attachment level
    • decrease or no change in mobility
    • resolution of erythematous tissue
    • reduced swelling and edema
  34. the DENTAL CARIES expected outcomes are (6)
    • no new demineralized areas
    • demineralized areas resolved
    • no new carious lesions
    • reduced intake of cariogenic foods/beverages
    • dental sealants placed
    • increased fl2 use
  35. what are the 7 PREVENTION expected outcomes?
    • elimination of iatrogenic factors
    • increased biofilm-free areas
    • pt demonstration of rec care procedures
    • compliance with daily care rec
    • compliance with re maint care interval
    • tobacco-free status
    • modification/stabilization of systemic risk factors
  36. the anticipated outcomes of a tissue conditioning program include: _________ healing, reduced ________ accumulation, and ________ by the patient
    • gingival healing
    • reduced bacterial accumulation
    • learning by the patient
  37. gingival healing during tissue conditioning includes:
    tissues become less _________ (filled with fluid)
    ________ is minimized
    ________ procedures are facilitated
    • edematous
    • bleeding
    • scaling
  38. the reduced bacterial accumulation tissue conditioning includes:
    less likelihood that ________ will be produced during scaling
    and reduced ___________ in the aerosols produced
    • bacteremias
    • contamination
  39. learning by the pt while conditioning the tissues for scaling, the patient can:
    practice ____ ____ behaviors
    experience the benefits of a clean mouth
    form lifetime _____ for continued _______
    • practice oral health behaviors
    • form lifetime habits for continued maintenance
  40. the program for tissue conditioning should:
    initiate a pretreatment program of daily _____ _____.
    recommend daily use of an _______ _____ after thorough brushing and flossing before going to bed.
    select affected _______ for scaling only after pt cooperation has been demonstrated
    • biofilm removal
    • antibacterial rinse
    • quadrants
  41. will a pre-procedural antimicrobial rinse remove dental biofilm, lower the bacterial count in aerosols, and decrease the potential for bacteremia?
    nod your head...yes
  42. what is the first choice for pre-procedural antimicrobial rinsing?
    the first choice is brushing flossing
  43. t/f vigorous rinsing with an antibacterial mouthrinse is beneficial
  44. forcing mouth rinse between the teeth for ___-___ minutes can remove _____ debris and surface bacteria approximately ___ mm below the gingival margin
    • 1-2 minutes
    • loose debris
    • 1mm
  45. Which areas should be treated first when dealing with pain and anxiety control quadrant selection?
    the areas of discomfort unless tissue conditioning is necessary
  46. if someone has pain and anxiety, which quadrant should be treated if there is no discomfort?
    • the one with the fewest teeth or least severe perio infection
    • (to help make first scaling less complicated and help orient an anxious pt to clinical procedures)
  47. the pt's previous pain control experiences
    severity of the perio infection
    depth of pockets
    consistency and distribution of calc
    potential pt discomfort during scaling
    and sensitivity of the pt's tissues
    ALL AID IN THE NEED FOR __________
  48. t/f if you are going to anesthetize a patient and scale two quadrants, you should choose either the maxillary or mandibular quadrants so it is less annoying than only having half of your face numb at a time
    FALSE! like in clinic, scale either the right or left side
  49. DH care during extended dental therapy includes ______ tissue assessment, probing to determine _______, biofilm check with ______ ______, reinforcement of daily oral care, _______ and _______ planning to remove calc, add. instructions for care of a new ________, and _________ encouragement
    • gingival
    • bleeding
    • disclosing agent
    • scaling and root planning
    • prosthesis
    • motivational
  50. what is the purpose of 4-handed dental hygiene? (3)
    • flexible scheduling
    • 2 tx chairs in overlapping time frame
    • assistance with pt management
  51. a well-trained hygiene assistant can perform: (6)
    • seat patient from reception area
    • mhx update
    • radiographs
    • reinforce oral hygiene instructions
    • assist with sealants and u/s
    • cleanup/disinfect for next pt